As anyone working in a hospital already knows, diagnostic related groupings, or DRGs, are immensely important to the process of reimbursement. As a result, many hospital employees are worried about a plan proposed by the Centers for Medicare and Medicaid Services...

Coders who are still struggling to transition from ICD-9 to ICD-10 will soon have one fewer tool at their disposal. Since the US officially implemented ICD-10 in 2015, the Centers for Medicare and Medicaid Services (CMS) have routinely published a list of general...

Like many big organizations, the Centers for Medicare and Medicaid Services (CMS) sometimes get a bad rap for having too many outdated or unnecessary regulations. Thankfully, the government is at least aware of these issues and is working toward reducing them. While...

With an insurer as big as the Centers for Medicare and Medicaid Services (CMS), it’s an inevitability that some Medicaid claims in the system will get lost or misinterpreted. What is far less acceptable, however, is when states intentionally manipulate this data in...

Another flu season is upon us, and that means it’s time to brush up on all the corresponding codes, particularly those associated with flu vaccines. While the Center for Disease Control and Prevention (CDC) recommends that people get their vaccine early before flu...

It’s that time of year again: hurricane season. With Hurricane Florence having already made headlines across the country thanks to the widespread flooding it caused across North and South Carolina, hurricanes and the destruction they cause is now back at the forefront...